Arterial thrombosis causing complete occlusion is a rare event in the natural history of a transplanted allograft; an incidence of 1.4% has been reported. This condition usually results from technical problems, hyperacute rejection, severe atherosclerosis, or injury to donor or recipient arteries. The treatment of choice is transplant nephrectomy. We report a case of renal artery occlusion after a therapeutic radiological procedure and subsequent salvaging of the graft. The case report shows that an aggressive surgical approach toward restoring circulation is worth the effort.
Get full access to this article
View all access options for this article.
References
1.
PetersenLJPetersenJRTaleruphuusU. The pulsatility index and resistive index in renal arteries. Associations with long-term progression in chronic renal failure. Nephrol Dial Transplant.1997;12(7):1376–1380.
2.
LeeHMMendez-PiconGPierceJCHumeDM. Renal artery occlusion in transplant recipients. Am Surg.1977;43(3):186–192.
3.
FervenzaFCLafayetteRAAlfreyEJ. Renal artery stenosis in kidney transplantation. Am J Kidney Dis.1998;31(1):142–148.
4.
SalvadoriMDi MariaLRosatiA. Efficacy and safety of Palmaz stent implantation in the treatment of renal artery stenosis in renal transplantation. Transpl Proc.2005;37(2):1047–1048.
5.
ReidDBDouglasMDiethrichEB. The value of three-dimensional intravascular ultrasound imaging. J Endo Vasc Surg.1995;2(4):356–364.
6.
MelzerJSSicardGAEtheredgeEEAndersonCB. Successful revascularization of early post transplant renal arterial occlusion. Surgery.1982;91:168–172.
7.
MorrisGCHeiderCFMoyerJH. The protective effect of subfiltration arterial pressure on the kidney. Surg Forum.1956;6:623–627.
8.
NicholsonJDBurlesonRLBredenbergCE. Survival of renal allograft after correction of nearly total acute renal artery occlusion. Transplantation.1978;26:131–133.
9.
OkiyeSEZinckeH. Renal allograft salvage after prolonged early post transplant renal artery occlusion. J Urol.1983;129(6):1216–1217.
10.
SwansonDASullivanMJ. Thromboendarterectomy for anuria four and a half years post-renal transplant: A case report. J Urol.1976;116(6):779–801.
